PN comprehensive predictor B [2022] with rationales_Rated 100%
PN comprehensive predictor B [2022] 1. A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the following supplies should the nurse plan to use for this task? 2. A nurse in a long-term care facility is serving on the ethics committee, which is addressing a client care dilemma. Which of the following strategies will facilitate resolving the dilemma? (Select all that apply.) 3. A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states, "l really thought I'd be back to my usual routines by now, but I can't think of anything else except that my son is gone." Which Of the following responses should the nurse make? 4. A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include that frequent consumption of which of the following foods increases the risk for developing cancer? 5. A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The nurse also notes that the AP is drowsy while performing routine tasks. Which of the following actions should the nurse take? 6. A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? 7. A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first? 8. A nurse is assisting with the admission of a client who has a latex allergy. The nurse should identify that which of the following supplies has the potential to contain latex? 9. A nurse is performing postmortem care for a client prior to the arrival Of the client's family for viewing Of the body. Which Of the following actions should the nurse take? 10. A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching? 11. A nurse is collecting data from a client who is experiencing a situational crisis following the loss of a job. The client states, "l don't think I can go through this again." Which of the following actions is the nurse's priority? 12. A nurse is contributing to the plan of care for a client following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? 13. A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following should the nurse recognize as a positive response to the therapy? 14. A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for the client? 15. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that the client has decided not to have surgery even though they have already signed the informed consent form. Which of the following actions should the nurse take? 16. A nurse is collecting data from a client who is in severe pain. Which of the following questions should the nurse ask first? 17. A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir. Which of the following statements by the client should indicate to the nurse an understanding of the teaching? 18. A nurse is contributing to the plan of care for a client who is postoperative following a rhinoplasty. Which of the following interventions should the nurse recommend? 19. A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which Of the following findings is the nurse's priority to report to the provider? 20. A nurse is preparing to administer digoxin to a client who has heart failure. Which Of the following findings should indicate to the nurse that the medication has been effective? 21. A nurse is reinforcing teaching about stress management techniques with a client who has moderate anxiety disorder. Which of the following responses by the client indicates an understanding of the teaching? 22. A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching? 23. A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure to provide oral care for clients. Which of the following actions should the charge nurse take? 24. A nurse in a long-term care facility is observing a newly licensed nurse who is providing tracheostomy care for a client. The nurse identifies proper performance of the procedure when the newly licensed nurse selects which of the following solutions to clean the inner cannula? 25. A nurse is caring for a client who took an overdose of acetaminophen. Which of the following medications should the nurse plan to administer to the client? 26. A nurse is caring for a client who is in Buck's traction. Which of the following actions should the nurse take? 27. A nurse is preparing to administer metoclopramide 10 mg IM. Available is metoclopramide 5 mg/mL How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 28. A nurse is reinforcing discharge instructions with the parent of an infant who has rotavirus. Which of the following statements by the parent indicates an understanding of the teaching? 29. A charge nurse is observing a newly licensed nurse apply sterile gloves. Which of the following actions by the newly licensed nurse demonstrates sterile technique? 30. A nurse is reviewing laboratory reports for a client who has an Escherichia coli infection and is receiving gentamicin. Which of the following results should the nurse report to the provider before administering the next dose? 31. A nurse is reinforcing teaching with a client regarding prescribed asthma medications. The nurse should instruct the client to use which of the following medications for treatment of an acute asthma attack? 32. A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a school-age child. Which of the following information should the nurse include? 33. A nurse is preparing to administer an influenza virus immunization to a client by the intradermal route. Which Of the following actions should the nurse take? 34. A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take? 35. A nurse is reinforcing teaching about food selection with a client who has a moderate burn injury. Which of the following foods should the nurse recommend as being high in vitamin C? 36. A nurse is collecting data from a client who has multiple fractures following a motor-vehicle crash. For which of the following client statements should the nurse recommend a referral to an occupational therapist? 37. A nurse is assisting with the admission of an adolescent who has bulimia nervosa. Which of the following manifestations should the nurse expect? - 38. A nurse is collecting data from a client who is in the diagnostic center and is scheduled to undergo a colonoscopy. Based on the information provided in the client's chart, which of the following pieces of data places this client at risk for colorectal cancer? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) 39. A nurse is caring for a client who has an altered mental status and has become aggressive. Which of the following prescriptions should the nurse clarify with the provider prior to administration? 40. A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription for levothyroxine. Which of the following instructions should the nurse include in the teaching? 41. A nurse is collecting data from a client who has myasthenia gravis (MG). Which of the following images should the nurse identify as an indication that the client is experiencing ptosis? 42. A nurse is assisting with the admission of a client who has major depressive disorder. Which of the following communication techniques should the nurse use to establish a trusting relationship with the client? 43. A nurse is preparing to administer a client's morning medications. Which of the following actions should the nurse take to verify the client's identity? - 44. A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings should the nurse expect? 45. A nurse is caring for a client who has expressive aphasia following a stroke. Which of the following methods should the nurse use when communicating with the client? - Provide a picture board. rationale: A client who has expressive aphasia has difficulty expressing needs or wants through verbalization or writing. The use of a picture board provides an alternative means of communication that might be less frustrating for the client. 46. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. Which of the following actions should the nurse take to promote the client's venous return? 47. A nurse is observing an assistive personnel (AP) caring for a client. For which of the following actions by the AP should the nurse intervene? 48. A nurse is reinforcing teaching with a newborn's parents about umbilical cord care. Which Of the following statements by a parent indicates an understanding Of the instructions? - i will give our baby sponge baths until the cord falls off. 49. A nurse is reinforcing discharge teaching with a client who has undergone vein ligation and stripping to treat varicose veins. Which of the following instructions should the nurse include in the teaching? 50. A nurse is delegating the collection of a sputum specimen to an assistive personnel (AP). At which of the following times should the nurse instruct the AP to collect the specimen? 51. A nurse at a long-term care facility is part of a team preparing a report on the quality of care at the facility. Which of the following information should the nurse recommend including in the report to demonstrate improvement in care quality? 52. A nurse is maintaining droplet precautions for a client who has meningitis. Which of the following actions should the nurse take? 53. A nurse is reinforcing teaching with a client who has a new diagnosis of type 2 diabetes mellitus and inquires about information concerning oral antidiabetic agents. In addition to the provider, where should the nurse refer the client for information? (Select all that apply.) 54. A nurse is collecting data from a client who has bipolar disorder and is experiencing acute mania. Which of the following findings is the nurse's priority? 55. A nurse is preparing a client for surgery. The client states, "I'm sure this surgery will not help me get better." Which of the following responses should the nurse make? 56. A nurse is reinforcing discharge teaching about car seat safety with the guardian Of a Which Of the following statements by the guardian indicates an understanding Of the teaching 57. A nurse is reinforcing teaching with a client about the client's recent diagnosis Of multiple sclerosis. The client states, "l am very upset and I want to be alone for a little while." Which Of the following responses should the nurse make? 58. A nurse is reinforcing teaching with a client who has a new prescription for prednisone for the treatment of Addison's disease. Which of the following instructions should the nurse include in the teaching? 59. A nurse in a long-term care facility is contributing to the plan Of care for a client who has a new ostomy. Which Of the following interventions should the nurse include? 60. A nurse is contributing to the plan of care for a client who is receiving mechanical ventilation. Which of the following interventions should the nurse recommend? 61. A nurse is receiving report on four clients. Which of the following clients should the nurse plan to see first? 62. A nurse in a provider's office is collecting data from a preschooler. Which of the following findings should the nurse report to the provider? 63. A nurse is contributing to the plan of care for an older adult client who has difficulty sleeping. Which of the following interventions should the nurse include? 64. A nurse is reinforcing teaching with a client who has a prescription for nitroglycerin sublingual tablets. Which of the following instructions should the nurse include in the teaching? 65. A nurse is performing vision testing for a client following a head injury. Which of the following findings should the nurse identify as a problem with pupil accommodation? 66. A nurse is contributing to the plan of care for a client who is at risk of developing pressure injuries. Which of the following interventions should the nurse include? 67. A nurse is checking a newborn's vital signs. Which Of the following methods Of temperature measurement should the nurse use? 68. A nurse is transferring a client from a bed to a wheelchair. The client has right-sided weakness following a recent stroke. Which of the following actions should the nurse take? 69. A nurse is collecting data from a client who has hypokalemia. Which of the following findings should the nurse expect? 70. A nurse is contributing to the plan of care for a client who is newly diagnosed with iron deficiency anemia. Which of the following foods should the nurse include in the plan as having the highest amount of iron? 71. A nurse is preparing to administer insulin to a client who has type 1 diabetes mellitus. After drawing up the medication, the nurse accidentally brushes the needle on the counter's surface. Which of the following actions should the nurse take? 72. A nurse is reinforcing teaching with a client who has asthma and a new prescription for an ipratropium inhaler. Which of the following statements by the client indicates an understanding of the teaching? 73. A nurse is contributing to the plan of care for a client who has a chest tube connected to a closed drainage system. Which of the following interventions should the nurse include? 74. A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. For which of the following results should the nurse notify the provider? 75. A nurse is discussing alopecia with a client who is scheduled to begin chemotherapy. Which of the following statements should the nurse make? - 76. A nurse in a long-term care facility is auscultating the lung sounds of a client who reports shortness of breath and increased fatigue. The nurse should report which Of the following to the provider after hearing this sound? (Click on the audio button to listen to the clip.) 77. A nurse is caring for a client who is 2 days postoperative following abdominal surgery and has a new prescription for a regular diet. For which Of the following findings should the nurse notify the provider? 78. A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following statements should the nurse include in the instructions? 79. A nurse is collecting data from a client who has Tourette syndrome. The client reports taking haloperidol 0.5 mL orally three times a day at home. Which of the following components of the prescription should the nurse question? 80. A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first? 81. A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees at a childcare facility. Which of the following characteristics should the nurse identify as an external factor that can impede learning for the participants? 82. A nurse in a long-term care facility is reviewing information about health care-associated infections with a newly licensed nurse. Which Of the following information should the nurse include? 83. A nurse is caring for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse take? 84. A nurse is reinforcing teaching with a client who has left-sided weakness and is learning how to ambulate with a cane. The nurse should identify that the client understands the teaching when the client places the cane in which of the following positions when advancing forward? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) 85. A home health nurse is caring for an older adult client who just returned home following a total knee arthroplasty. Which of the following actions should the nurse take first? 86. A school nurse is having a conversation with the parents of an adolescent. The nurse should identify which of the following situations as an ethical dilemma for the parents? 87. A nurse has administered medications to a group of clients. For which of the following client situations should the nurse complete an incident report? 88. A nurse is reinforcing teaching with a client who has tuberculosis (TB). Which of the following statements by the client indicates an understanding of the teaching? 89. A nurse is collecting data from a male client who is scheduled for a left inguinal herniorrhaphy. Which of the following findings is the priority for the nurse to report to the provider? 90. A nurse is collecting data from a client who has posttraumatic stress disorder (PTSD). Which of the following manifestations should the nurse expect? - 91. A nurse is reinforcing teaching with the adult children of a client who is dying. Which of the following statements should the nurse make? 92. A nurse is preparing to discharge a client who is immunocompromised. Which of the following vaccines should the nurse plan to administer? - 93. A nurse is assisting with a presentation at a community center about personal disaster preparedness. Which of the following strategies should the nurse recommend for preparing a home disaster supply kit? 94. A nurse is collecting data from a client who has type 2 diabetes mellitus and is concerned about weight gain during pregnancy. Which of the following responses should the nurse make? 95. A nurse is reviewing a client's electronic medical record and finds that an assistive personnel (AP) recorded the client's temperature as 35.30 C (95.50 F) 2 hr earlier. Which of the following actions should the nurse take first? - 96. A charge nurse on a long-term care unit is preparing to delegate tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the charge nurse delegate to the LPN? 97. A nurse is preparing to administer purified protein derivative (PPD) to a client who has suspected tuberculosis. Which of the following actions should the nurse plan to take? - ensure the injection produces wheal on the skin 98. A nurse is reinforcing teaching with a female client who requests information about how to lose weight. Which of the following statements should the nurse make? 99. A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility. Which of the following should the nurse include as an example of assault? 100. A nurse is assisting in the plan Of care for a female client who is to undergo a 12-lead ECG. Which Of the following actions should the nurse include in the plan Of care? 101. A nurse is collecting data from a client who has multiple sclerosis. Which of the following findings should the nurse expect? 102. A nurse is reinforcing teaching with a client who is bottle feeding their full-term newborn with formula. Which of the following instructions should the nurse include in the teaching? 103. A nurse is preparing to administer a rectal suppository to a school-age child. Which of the following actions should the nurse plan to take? 104. A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The nurse recognizes late decelerations on the fetal monitor tracing. Which of the following actions should the nurse take? 105. A nurse is assisting with an in-service about hepatitis A for a group of staff nurses. The nurse should include that hepatitis A is transmitted through which of the following methods? 106. A nurse is contributing to an in-service for newly-licensed nurses about child maltreatment. The nurse should include that which of the following characteristics increases a child's risk of physical maltreatment? - 107. A nurse is reinforcing teaching with a client who has coronary artery disease (CAD) and is taking a low-dose aspirin daily. The nurse should include that this medication has which of the following therapeutic effects? - 108. A nurse at a long-term care facility is transcribing new prescriptions for four clients. Which of the following prescriptions is accurately transcribed by the nurse? 109. A nurse is reinforcing teaching with a male client who is uncircumcised about obtaining a clean-catch midstream urine specimen. Identify the sequence of actions the nurse should instruct the client to take after washing their hands. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 110. A nurse is caring for a client who is being discharged home following a cerebrovascular accident. Which of the following documents should the nurse plan to include with the discharge report? 111. A nurse is reinforcing teaching with a client who is scheduled for a barium enema. Which of the following statements should the nurse make? - 112. A nurse is preparing to administer medications to a client who is NPO and is receiving enteral feedings through an NG tube. Which of the following prescriptions should the nurse clarify with the provider? 113. A nurse on a medical-surgical unit is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse delegate to the AP? 114. A nurse in a provider's office is reinforcing discharge teaching with a client who is postoperative following cataract removal from one eye. Which of the following instructions should the nurse include? 115. A nurse is reviewing the procedure for endotracheal suctioning with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? 116. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and reports waking during the night with tremors and anxiety. Which Of the following information should the nurse include? 117. A nurse is caring for a client who requests information about advance directives. Which of the following responses should the nurse make? - 118. A nurse is working with an interpreter to assist the provider with explaining a diagnostic procedure to a client who speaks a different language than the nurse. Which of the following actions should the nurse take? 119. A nurse is collecting data from a newly-admitted infant who is 3 months old and has diarrhea. Which of the following findings should the nurse report to the provider? 120. A nurse is reinforcing teaching with a client who is at 20 weeks Of gestation and will undergo routine abdominal ultrasonography the following day. Which Of the following statements should the nurse include in the teaching? 121. A nurse is receiving change-of-shift report for a group Of clients. The nurse should plan to implement which Of the following time-management strategies? 122. A nurse is reinforcing teaching with the parent of a preschooler who has lactose intolerance. Which of the following statements by the parent indicates an understanding of the teaching? 123. A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. Which of the following actions by the AP demonstrates an understanding of how to perform this skill? 124. A nurse is collecting data from a school-age child who has sustained a skull fracture. Which of the following is a manifestation Of increased intracranial pressure? 125. A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following statements by the client indicates an understanding of the instructions? 126. A nurse is reinforcing teaching with a client who is scheduled for a colonoscopy. Which of the following client statements indicates an understanding of the teaching? 127. A nurse is reinforcing teaching with a client who has fluid volume deficit about selecting foods that have a high water content. The nurse should include that which of the following raw foods contains the highest amount of water per 1 cup serving? 128. A nurse is assisting with performing a nonstress test for a client who is at 39 weeks of gestation. Which of the following instructions should the nurse reinforce with the client? 129. A nurse is assisting with monitoring a client who is in labor and has spontaneous rupture Of membranes following a vaginal examination. The provider reports the client's cervix is dilated to 1 cm with an unengaged presenting part. Which Of the following actions should the nurse take? 130. A nurse is preparing to administer a medication to a client. The client states, "I'm sick Of all these medications, and I'm not taking any more today!" Which Of the following actions should the nurse take? 131. A nurse is positioning a client who is scheduled for a lumbar puncture. The nurse should assist the client into which of the following positions? 132. A nurse manager is providing an in-service on hand hygiene to assistive personnel. Which of the following information should the nurse manager include in the in-service? 133. A nurse is collecting data from a client who has a newly applied cast to the right lower extremity. Which of the following findings should the nurse expect? 134. A nurse is reinforcing teaching with a group of clients about the Heimlich maneuver during a first-aid class. The nurse should include in the teaching that which of the following manifestations indicates the need for the Heimlich maneuver to be performed? (Select all that apply.) 135. A nurse is caring for a client who takes prednisone daily for the treatment of chronic asthma. The nurse should plan to monitor the client for which of the following adverse effects? 136. A nurse is reinforcing teaching about ways to reduce solid fat consumption with a client who has an elevated cholesterol level. Which of the following instructions should the nurse include? 137. A nurse is contributing to the plan of care for a client who had a vaginal delivery 4 hr ago and has a fourth-degree perineal laceration. Which of the following interventions should the nurse recommend? 138. A nurse assisting with a childbirth class is discussing nonpharmacological strategies used during labor. Which of the following statements by a client indicates an understanding of cutaneous stimulation? 139. A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instructions should the nurse include in the discharge teaching? 140. A nurse is administering lorazepam to a client who is scheduled for surgery within 1 hr. Which of the following actions should the nurse take after administering the medication? 141. A nurse is collecting data from an older adult client during a routine physical examination. Which of the following client statements should the nurse identify as a possible indication of maltreatment? 142. A nurse in a pediatric clinic is collecting data from a school-age child whose injuries are inconsistent with the parent's stated cause. Which Of the following actions should the nurse take? 143. A nurse is caring for a client who has a prescription for ranitidine 150 mg PO BID. Available is ranitidine syrup 15 mg/mL. How many mL should the nurse administer each day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 144. A nurse is reinforcing teaching with a client who has a new prosthesis for an above-the-knee amputation of the right leg. Which of the following instructions should the nurse include? 145. A nurse is speaking with the partner of a client who has Alzheimer's disease. The partner states, "l love him, but caring for him is wearing me out." Which of the following responses should the nurse make? 146. A nurse on an acute care unit is collecting data from a school-age child who has cystic fibrosis (CF). Which of the following findings is the priority for the nurse to report to the provider? 147. A nurse is reinforcing discharge teaching with a client who is postoperative following an open radical prostatectomy. Which of the following instructions should the nurse include in the teaching? 148. A nurse is reinforcing teaching with a client about how to use an incentive spirometer. Which of the following actions by the client indicates an understanding of the teaching? - the client attempts to elevate the cylinder by inhaling deeply 149. A nurse is collecting data from a client who delivered a full-term newborn 16 hr ago. The nurse notes excessive lochia discharge. Which of the following actions should the nurse take first? 150. A nurse manager is preparing to complete a performance analysis for a group of assistive personnel (AP). The manager asks a staff nurse for feedback on each AP's abilities. Which of the following actions should the staff nurse take?
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- 7 januari 2022
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pn comprehensive b
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pn comprehensive predictor b 2022
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ati pn comprehensive predictor b 2022
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a nurse at a long term care facility is caring for a client who requires oral suctioning which of the fo
